Individual provider Active NPI

Felicia Leipold, DC, ATC

  • Chiropractor
  • Ellicott City, MD
National Provider Identifier
1972274629
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04104 Issued in MD
Practice address
9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337
Phone
(443) 605-4221
NPI assigned
Sep 22, 2021
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5207 FL
Chiropractor 111N00000X S04104 MD Primary

Addresses

Primary practice location

9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337

Mailing address

9501 Old Annapolis Rd Ste 301
Ellicott City, MD 21042-6337
Phone (443) 605-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706002673 MD Practitioner - Chiropractic 8224418454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9501 Old Annapolis Rd
Suite 301
Ellicott City, MD 21042-6337
Phone (410) 531-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL5207FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
National Chiropractic &Sports Rehabilitation Chiropractor CurrentSince Jun 16, 2022 Accepting new patients
National Chiropractic Health & Sports Rehabilitation, Inc Chiropractor PastSince Jun 12, 2022 Accepting new patients
Msi Bel Air, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

9501 Old Annapolis Rd
Ste 301
Ellicott City, MD 21042
Phone (410) 531-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1972274629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 301",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-605-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 301",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-605-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIPOLD",
        "first_name": "FELICIA",
        "name_prefix": "Dr.",
        "credential": "DC,  ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5207",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.